A nurse is collecting data from a client. The provider suspects the client may have the syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)

Osteoarthritis

Lung cancer

Liver cirrhosis

Dyspepsia

Seizures

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: Osteoarthritis is a degenerative joint disease and is not associated with SIADH. It does not typically affect the body's regulation of antidiuretic hormone (ADH) or fluid balance.

Choice B reason: Lung cancer, particularly small cell lung cancer, is a common cause of SIADH. Tumor cells can produce and secrete ADH, leading to inappropriate water retention and hyponatremia. Therefore, asking about lung cancer history is important in the assessment.

Choice C reason: The correct answer is c because liver cirrhosis can lead to secondary conditions that may affect fluid balance and ADH secretion. Although not a direct cause of SIADH, liver dysfunction can complicate the clinical picture and contribute to fluid retention issues.

Choice D reason: Dyspepsia, or indigestion, is not related to SIADH and does not typically impact ADH regulation. It is a gastrointestinal issue that does not affect fluid balance.

Choice E reason: The correct answer is e because seizures can be associated with conditions that trigger SIADH. Neurological disorders, including brain injuries and infections, can lead to the inappropriate release of ADH, resulting in fluid retention and hyponatremia.

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Correct Answer is B

Explanation

Choice A reason: While a healthy diet is important, avoiding fried foods alone is not sufficient for managing hepatitis A. This statement does not fully address the necessary precautions to prevent transmission.

Choice B reason: The correct answer is b because abstaining from sexual intercourse is essential to prevent the spread of hepatitis A. The virus can be transmitted through close personal contact, including sexual activity.

Choice C reason: Refraining from international travel may be advisable in some cases, but it is not a specific requirement for managing hepatitis A. This statement does not directly address transmission prevention.

Choice D reason: Avoiding salads in restaurants can help reduce the risk of foodborne transmission of hepatitis A, but it is not as comprehensive as abstaining from sexual intercourse, which directly prevents person-to-person transmission.

A. Actinic keratosis B. Kaposi's sarcoma C. Actinic dermatitis D. Basal cell carcinoma

Correct Answer is B

Explanation

Choice A reason: Actinic keratosis is a rough, scaly patch on the skin caused by long-term sun exposure. It is usually not purplish-brown and is more common in fair-skinned individuals. These lesions are considered pre-cancerous and can develop into squamous cell carcinoma if left untreated. The description of purplish-brown lesions in the context of an AIDS diagnosis is more indicative of Kaposi's sarcoma.

Choice B reason: Kaposi's sarcoma is a type of cancer that forms in the lining of blood and lymph vessels. It often presents as purplish-brown, red, or bluish lesions on the skin or mucous membranes and is commonly associated with AIDS. The multiple, widespread nature of the lesions described aligns with the typical presentation of Kaposi's sarcoma, making it the most likely diagnosis in this scenario.

Choice C reason: Actinic dermatitis, also known as photodermatitis, is an inflammatory reaction of the skin to sunlight. It does not typically present as purplish-brown lesions. This condition manifests as redness, swelling, and possibly blistering in sun-exposed areas. The description given is not consistent with actinic dermatitis and points more towards Kaposi's sarcoma in an AIDS client.

Choice D reason: Basal cell carcinoma does not usually present with multiple, widespread purplish-brown lesions. It is typically a localized lesion that appears as a pearly or waxy bump. The description of multiple, widespread lesions is more characteristic of Kaposi's sarcoma in clients with AIDS, making basal cell carcinoma an unlikely diagnosis in this context.

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A nurse is collecting data from a client. The provider suspects the client may have the syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge instructions with a client who has hepatitis

Correct Answer is B

Explanation

A nurse is collecting data from a client who has AIDS. The nurse notes that the client has multiple, widespread purplish-brown skin lesions. The nurse should suspect that the client has developed which of the following types of skin lesions?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client prescribed betamethasone for chronic osteoarthritis. Which of the following statements by the client indicates understanding of the teaching?

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

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A nurse is caring for a client who has Ménière’s disease. When asked by the client if he is allowed to ambulate independently, which of the following responses should the nurse make?

A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?

A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply).